| NPI | 1164123568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLY JEAN-PIERRE Owner 386-675-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |